Healthcare Provider Details

I. General information

NPI: 1841096823
Provider Name (Legal Business Name): ANA GABRIELA CADENA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 E SANTA CLARA ST STE 105
SAN JOSE CA
95112-1936
US

IV. Provider business mailing address

1247 LOCUST ST APT B
SAN JOSE CA
95110-3320
US

V. Phone/Fax

Practice location:
  • Phone: 408-961-4645
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: